Corey Paul Yamashita Paulino, DMD in Dallas, TX

Corey Paul Yamashita Paulino, DMD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Dallas, Texas. His current practice location is 3760 W Northwest Hwy, Dallas, Texas. You can reach out to his office (for appointments etc.) via phone at (480) 262-5802.

Corey Paul Yamashita Paulino is licensed to practice in Texas (license number 41255) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1306299037.

Contact Information

	Corey Paul Yamashita Paulino, DMD
	3760 W Northwest Hwy, Dallas, TX 75220-4943
	(480) 262-5802
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Corey Paul Yamashita Paulino
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	3760 W Northwest Hwy, Dallas, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306299037
Provider Enumeration Date: 07/18/2016
Last Update Date: 02/27/2026

Medicare PECOS Information:

PECOS PAC ID: 2163953654
Enrollment ID: I20241008004019

Medical Identifiers

Medical identifiers for Corey Paul Yamashita Paulino such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306299037	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	41255 (Texas)	Primary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	11643 (Tennessee)	Secondary
122300000X	Dentist	100399 (California)	Secondary
122300000X	Dentist	11643 (Tennessee)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Corey Paul Yamashita Paulino allows following entities to bill medicare on his behalf.

Entity Name	Oral Surgical Institute Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144298050 PECOS PAC ID: 5092799031 Enrollment ID: O20040616000881

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Corey Paul Yamashita Paulino is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Corey Paul Yamashita Paulino, DMD 3446 Melvina Dr, Frisco, TX 75033-1052 Ph: (480) 262-5802	Corey Paul Yamashita Paulino, DMD 3760 W Northwest Hwy, Dallas, TX 75220-4943 Ph: (480) 262-5802

Reviews and Comments

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Corey Paul Yamashita Paulino, DMD - Medicare Dentist in Dallas, TX